NCM 107 M1 MATERNAL AND CHILD NURSING copy.pptx

FRAMEWORK FOR MATERNAL AND CHILD HEALTH NURSING  LEARNING OUTCOMES AFTER THE SUCCESSFUL COMPLETION OF THE MODULE YOU SHOULD BE ABLE TO: IDENTIFY THE SPECIFIC GOALS AND PHILOSOPHY OF MATERNAL AND CHILD HEALTH NURSING. DESCRIBE THE EVOLUTION, SCOPE, STANDARDS, AND PROFESSIONAL ROLES...

FRAMEWORK FOR MATERNAL AND CHILD HEALTH NURSING  LEARNING OUTCOMES AFTER THE SUCCESSFUL COMPLETION OF THE MODULE YOU SHOULD BE ABLE TO: IDENTIFY THE SPECIFIC GOALS AND PHILOSOPHY OF MATERNAL AND CHILD HEALTH NURSING. DESCRIBE THE EVOLUTION, SCOPE, STANDARDS, AND PROFESSIONAL ROLES FOR NURSES IN MATERNAL AND CHILD HEALTH NURSING.  LEARNING OUTCOMES DESCRIBE FAMILY-CENTERED CARE AND WAYS THAT MATERNAL AND CHILD HEALTH NURSING COULD BE MADE MORE FAMILY CENTERED. DEFINE COMMON STATISTICAL TERMS USED IN THE FIELD, SUCH AS INFANT AND MATERNAL MORTALITY. USE CRITICAL THINKING TO IDENTIFY AREAS OF CARE THAT COULD BENEFIT FROM ADDITIONAL RESEARCH OR APPLICATION OF EVIDENCE-BASED PRACTICE  LEARNING OUTCOMES DISCUSS THE INTERPLAY OF NURSING PROCESS, EVIDENCE-BASED PRACTICE, AND NURSING THEORY AS THEY RELATE TO THE FUTURE OF MATERNAL AND CHILD HEALTH NURSING PRACTICE. INTEGRATE KNOWLEDGE OF TRENDS IN MATERNAL AND CHILD HEALTH CARE WITH THE NURSING PROCESS TO ACHIEVE QUALITY MATERNAL AND CHILD HEALTH NURSING CARE. DESCRIBE THE FRAMEWORK FOR MATERNAL AND CHILD HEALTH NURSING CARE.  LEARNING OUTCOMES APPRECIATE THE UNIVERSAL HEALTH CARE GOALS AND OBJECTIVES AS AN IMPORTANT GUIDE TO UNDERSTANDING THE HEALTH OF THE NATION AND GOALS THAT NURSES CAN HELP THE NATION ACHIEVE. CORRELATE THE 17 SUSTAINABLE DEVELOPMENT GOALS FOR 2030 IN ACHIEVING QUALITY MATERNAL AND CHILD HEALTH NURSING CARE.  LEARNING OUTCOMES INTEGRATE KNOWLEDGE OF MATERNAL AND CHILD HEALTH NURSING WITH THE INTERPLAY OF NURSING PROCESS, QUALITY AND SAFETY EDUCATION FOR NURSES, AND FAMILY NURSING TO ACHIEVE QUALITY MATERNAL AND CHILD HEALTH NURSING CARE. APPRECIATE THE INTERPLAY BETWEEN THE NURSING PROCESS, QUALITY AND SAFETY EDUCATION AND FAMILY NURSING TO CONTINUOUSLY ACHIEVE QUALITY MATERNAL AND CHILD HEALTH NURSING CARE.  TOPIC OUTLINE 1. GOALS AND PHILOSOPHIES OF MATERNAL AND CHILD NURSING 2. MATERNAL AND CHILD HEALTH GOALS AND STANDARDS 3. FRAMEWORK OF MATERNAL AND CHILD NURSING 4. MEASURING MATERNAL AND CHILD HEALTH 5. ROLES AND RESPONSIBILITIES OF MATERNAL AND CHILD HEALTH NURSE 6. SUSTAINABLE DEVELOPMENTAL GOALS  AND OF MATERNAL AND CHILD NURSING  MATERNAL & CHILD NURSING OBSTETRICS, OR THE CARE OF WOMEN DURING CHILDBIRTH, IS DERIVED FROM THE GREEK WORD OBSTARE, WHICH MEANS “TO KEEP WATCH.” PEDIATRICS IS A WORD DERIVED FROM THE GREEK WORD PAIS, MEANING “CHILD.”  ALTHOUGH THE FIELD OF NURSING TYPICALLY DIVIDES ITS CONCERNS FOR FAMILIES DURING CHILDBEARING AND CHILDREARING INTO TWO SEPARATE ENTITIES, MATERNITY CARE AND CHILD HEALTH CARE, THE FULL SCOPE OF NURSING PRACTICE IN THIS AREA IS NOT TWO SEPARATE ENTITIES BUT RATHER A CONTINUUM: MATERNAL AND CHILD HEALTH NURSING  PRIMARY GOAL OF MATERNAL & CHILD HEALTH NURSING CARE THE PROMOTION AND MAINTENANCE OF OPTIMAL FAMILY HEALTH TO ENSURE CYCLES OF OPTIMAL CHILDBEARING AND CHILDREARING. THE CYCLE OF OPTIMAL CHILDBEARING AND CHILDREARING GOALS OF MATERNAL AND CHILD HEALTH NURSING CARE THE GOALS OF MATERNAL AND CHILD HEALTH NURSING CARE ARE NECESSARILY BROAD BECAUSE THE SCOPE OF PRACTICE (THE RANGE OF SERVICES AND CARE THAT MAY BE PROVIDED BY A NURSE BASED ON STATE REQUIREMENTS) IS SO BROAD. MCN RANGE OF PRACTICE PRECONCEPTUAL HEALTH CARE CARE OF WOMEN DURING THREE TRIMESTERS OF PREGNANCY AND THE PUERPERIUM (THE 6 WEEKS AFTER CHILDBIRTH, SOMETIMES TERMED THE FOURTH TRIMESTER OF PREGNANCY). CARE OF INFANTS DURING THE PERINATAL PERIOD (6 WEEKS BEFORE CONCEPTION TO 6 WEEKS AFTER BIRTH) MCN RANGE OF PRACTICE CARE OF CHILDREN FROM BIRTH THROUGH ADOLESCENCE CARE IN SETTINGS AS VARIED AS THE BIRTHING ROOM, THE PEDIATRIC INTENSIVE CARE UNIT, AND THE HOME PHILOSO PHY OF MATERNA L AND CHILD HEALTH NURSING  A MATERNAL AND CHILD HEALTH NURSE PARTNER ADVOCATE GOOD COMMUNICATOR SKILLFUL, KNOWLEDGEABLE, COUNSELOR  A MATERNAL AND CHILD HEALTH NURSE SERVES AS AN IMPORTANT RESOURCE FOR FAMILIES DURING CHILDBEARING AND CHILDREARING AS THESE CAN BE EXTREMELY STRESSFUL TIMES IN A LIFE CYCLE. RESPECTS PERSONAL, CULTURAL AND SPIRITUAL ATTITUDES AND BELIEFS AS THESE SO STRONGLY INFLUENCE THE MEANING AND IMPACT OF CHILDBEARING AND CHILDREARING.  A MATERNAL AND CHILD HEALTH NURSE ENCOURAGES DEVELOPMENTAL STIMULATION DURING BOTH HEALTH AND ILLNESS SO CHILDREN CAN REACH THEIR ULTIMATE CAPACITY IN ADULT LIFE. ASSESSES FAMILIES FOR STRENGTH AS WELL AS SPECIFIC NEEDS OR CHALLENGES. ENCOURAGES FAMILY BONDING THROUGH ROOMING-IN AND FAMILY VISITING IN MATERNAL AND CHILD HEALTH CARE SETTINGS  A MATERNAL AND CHILD HEALTH NURSE ENCOURAGES EARLY HOSPITAL DISCHARGE OPTIONS TO REUNITE FAMILIES AS SOON AS POSSIBLE IN ORDER TO CREATE A SEAMLESS, HELPFUL TRANSITION PROCESS. ENCOURAGES FAMILIES TO REACH OUT TO THEIR COMMUNITY SO THE FAMILY CAN DEVELOP A WEALTH OF SUPPORT PEOPLE THEY CAN CALL ON IN TIME OF FAMILY CRISIS.  STANDARDS OF MCHN PRACTICE DIVISION OF MATERNAL-CHILD HEALTH NURSING PRACTICE OF THE AMERICAN NURSES ASSOCIATION IN COLLABORATION WITH THE SOCIETY OF PEDIATRIC NURSES – MATERNAL AND CHILD HEALTH. THE ASSOCIATION OF WOMEN’S HEALTH, OBSTETRIC, AND NEONATAL NURSES (AWHONN) – HAS DEVELOPED SIMILAR STANDARDS FOR THE NURSING CARE OF WOMEN AND NEWBORNS.  STANDARDS OF CARE OPTIMUM HEALTH POTENTIALS - ACHIEVED WITHIN THE FRAMEWORK OF FAMILY-CENTERED CARE AND THE NURSING PROCESS STANDARDS OF CARE Identifica tion Standards of Professional Performance Standar Standar d II - Standar Standar dI- Perform d III - d IV - Quality ance Educati Collegi of Care Apprais on ality al Standards of Professional Performance Standar Standar Standar d VIII Standar d VI - d VII - Resourc dV- Collabo Researc e Ethics ration h Utiliza tion FRAMEWORK FOR MCHN CARE FOUR PHASES OF HEALTH CARE Health Health Health Health Promoti Mainten Restora Rehabil on ance tion itation NURSING PROCESS EBP  THE WORTH OF EVIDENCE IS RANKED ACCORDING TO: LEVEL I At least one properly designed randomized controlled trial LEVEL II Well designed controlled trials without randomization Well designed cohort or case-control analytic studies Multiple time series with or without an intervention Level III Opinions of respected authorities, based on clinical Use of EBP helps to move all health care actions to a experience, descriptive studies or reports of expert more solid and therefore safer scientific base. committees.  Brunei Darussalam remains committed to achieving the 2030 Agenda for Sustainable Development, in line with it’s National Vision, Wawasan Brunei 2035 of Brunei Vision 2035, progressing the nation towards its goals of having an educated, highly skilled and competent accomplished people as determined by the highest international standard; a high quality of life; and a dynamic and sustainable economy.  WAWASAN BRUNEI 2035 (BRUNEI VISION 2035) This is a long-term development plan, better known as “Wawasan Brunei 2035”, or “Brunei Vision 2035”. this aims to turn Brunei Darussalam into a nation widely recognized for: the accomplishments of its well-educated and highly-skilled people as measured by the highest international standard; quality of life that is among the top 10 nations in the world; and dynamic and sustainable economy with income per capita within the top countries in the world.  WAWASAN BRUNEI 2035 TO ACCOMPLISH THE ABOVE GOALS, EIGHT STRATEGIES HAVE BEEN IDENTIFIED AS FOLLOWS: 1. AN EDUCATION STRATEGY THAT WILL PREPARE THE YOUTH FOR EMPLOYMENT AND ACHIEVEMENT IN A WORLD THAT IS INCREASINGLY COMPETITIVE AND KNOWLEDGE- BASED. 2. AN ECONOMIC STRATEGY THAT WILL CREATE NEW EMPLOYMENT FOR THE PEOPLE AND EXPAND BUSINESS OPPORTUNITIES WITHIN BRUNEI THROUGH THE PROMOTION OF INVESTMENT, FOREIGN AND DOMESTIC, BOTH IN DOWNSTREAM INDUSTRIES AS WELL AS IN ECONOMIC CLUSTERS BEYOND THE OIL AND GAS INDUSTRY.  WAWASAN BRUNEI 3. A 2035 SECURITY STRATEGY THAT WILL SAFEGUARD BRUNEI’S POLITICAL STABILITY AND SOVEREIGNTY AS A NATION WHICH LINKS THE DEFENSE AND DIPLOMATIC CAPABILITIES AND ITS CAPACITY TO RESPOND TO THREATS FROM DISEASE AND NATURAL CATASTROPHE. 4. AN INSTITUTIONAL DEVELOPMENT STRATEGY THAT WILL ENHANCE GOOD GOVERNANCE IN BOTH THE PUBLIC AND PRIVATE SECTORS, HIGH QUALITY PUBLIC SERVICES, MODERN AND PRAGMATIC LEGAL AND REGULATORY FRAMEWORKS AND EFFICIENT GOVERNMENT PROCEDURES THAT ENTAIL A MINIMUM OF BUREAUCRATIC “RED TAPE”.  WAWASAN BRUNEI 2035 5. A LOCAL BUSINESS DEVELOPMENT STRATEGY THAT WILL ENHANCE OPPORTUNITIES FOR LOCAL SMALL AND MEDIUM SIZED ENTERPRISES (SMES) AS WELL AS ENABLE BRUNEI MALAYS TO ACHIEVE LEADERSHIP IN BUSINESS AND INDUSTRY BY DEVELOPING GREATER COMPETITIVE STRENGTH. 6. AN INFRASTRUCTURE DEVELOPMENT STRATEGY THAT WILL ENSURE CONTINUED INVESTMENT BY GOVERNMENT AND THROUGH PUBLIC-PRIVATE SECTOR PARTNERSHIP IN DEVELOPING AND MAINTAINING WORLD-CLASS INFRASTRUCTURE WITH SPECIAL EMPHASIS PLACED ON EDUCATION, HEALTH AND INDUSTRY.  WAWASAN BRUNEI 2035 7. A SOCIAL SECURITY STRATEGY THAT ENSURES THAT, AS THE NATION PROSPERS, ALL CITIZENS ARE PROPERLY CARED FOR. 8. AN ENVIRONMENTAL STRATEGY THAT ENSURES THE PROPER CONSERVATION OF OUR NATURAL ENVIRONMENT AND CULTURAL HABITAT. IT WILL PROVIDE HEALTH AND SAFETY IN LINE WITH THE HIGHEST INTERNATIONAL PRACTICES. SOURCE: BRUNEI ECONOMIC DEVELOPMENT BOARD  17 SUSTAINABLE DEVELOPMENT GOALS (2030) 1. NO POVERTY 2. ZERO HUNGER 3. GOOD HEALTH AND WELL-BEING 4. QUALITY EDUCATION 5. GENDER EQUALITY 6. CLEAN WATER AND SANITATION 7. AFFORDABLE AND CLEAN ENERGY 8. DESCENT WORK AND ECONOMIC GROWTH 9. INDUSTRY, INNOVATION AND INFRASTRUCTURE 10.REDUCED INEQUALITIES 11.SUSTAINABLE CITIES AND COMMUNITIES 12.RESPONSIBLE CONSUMPTION AND PRODUCTION 13.CLIMATE ACTION 14.LIFE BELOW WATER 15.LIFE ON LAND 16.PEACE, JUSTICE AND STRONG INSTITUTION 17.PARTNERSHIP FOR THE GOALS  THE GLOBAL STRATEGY FOR WOMEN, CHILDREN AND ADOLESCENTS HEALTH (2016- 2030) ROADMAP FOR ACHIEVING THE HIGHEST ATTAINABLE STANDARD OF HEALTH FOR WOMEN, CHILDREN AND ADOLESCENTS INTENDED TO INSPIRE POLITICAL LEADERS, POLICY MAKERS TO ACCELERATE THEIR WORK PROMOTES THE SUSTAINABLE DEVELOPMENT GOALS IMPLEMENTED THROUGH A 5 YEAR OPERATIONAL FRAMEWORK  VISION BY 2030, A WORLD IN WHICH EVERY WOMAN, CHILD AND ADOLESCENT IN EVERY SETTING REALIZES THEIR RIGHTS TO PHYSICAL AND MENTAL HEALTH AND WELL- BEING, HAS SOCIAL AND ECONOMIC OPPORTUNITIES, AND IS ABLE TO PARTICIPATE FULLY IN SHAPING PROSPEROUS AND SUSTAINABLE SOCIETIES.  THE GLOBAL STRATEGY FOR WOMEN’S, CHILDREN’S AND ADOLESCENTS’ HEALTH (2016- 2030) OBJECTIVES OBJECTIVES AND TARGETS ALIGNED WITH SDG SURVIVE – END PREVENTABLE DEATHS REDUCE GLOBAL MATERNAL MORTALITY TO LESS THAN 70 PER 100,000 LB REDUCE NEWBORN MORTALITY TO AT LEAST AS LOW AS 12 PER 1000 LB IN EVERY COUNTRY REDUCE UF MORTALITY TO AT LEAST AS LOW AS 25 PER 1000 LB IN EVERY COUNTRY OBJECTIVES AND TARGETS ALIGNED WITH SDG SURVIVE – END PREVENTABLE DEATHS END EPIDEMICS OF HIV, TUBERCULOSIS, MALARIA, NEGLECTED TROPICAL DISEASES AND OTHER COMMUNICABLE DISEASES REDUCE BY 1/3 PREMATURE MORTALITY FROM NON-COMMUNICABLE DISEASES AND PROMOTE MENTAL HEALTH AND WELL-BEING OBJECTIVES AND TARGETS ALIGNED WITH SDG THRIVE - ENSURE HEALTH AND WELL-BEING END ALL FORMS OF MALNUTRITION AND ADDRESS THE NUTRITIONAL NEEDS OF CHILDREN, ADOLESCENT GIRLS, AND PREGNANT AND LACTATING WOMEN ENSURE UNIVERSAL ACCESS TO SEXUAL AND REPRODUCTIVE HEALTH-CARE SERVICES (INCLUDING FOR FP) AND RIGHTS  OBJECTIVES AND TARGETS ALIGNED WITH SDG THRIVE THRIVE - Ensure health and well-being Ensure that all girls and boys have access Ensure to good-quality early childhood and development Substantially reduce pollution-related Reduce deaths and illnesses Achieve universal health coverage, including financial risk protection and Achieve access to quality essential services, medicines and vaccines OBJECTIVES AND TARGETS ALIGNED WITH SDG TRANSFORM – EXPANDING ENABLING ENVIRONMENTS ERADICATE EXTREME POVERTY ENSURE THAT ALL GIRLS AND BOYS COMPLETE FREE, EQUITABLE AND GOOD-QUALITY PRIMARY AND SECONDARY EDUCATION ELIMINATE ALL HARMFUL PRACTICES AND ALL DISCRIMINATION AND VIOLENCE AGAINST WOMEN AND GIRLS OBJECTIVES AND TARGETS ALIGNED WITH SDG TRANSFORM – EXPANDING ENABLING ENVIRONMENTS ACHIEVE UNIVERSAL AND EQUITABLE ACCESS TO SAFE AND AFFORDABLE DRINKING WATER AND TO ADEQUATE AND EQUITABLE SANITATION AND HYGIENE ENHANCE SCIENTIFIC RESEARCH, UPGRADE TECHNOLOGICAL CAPABILITIES AND ENCOURAGE INNOVATION OBJECTIVES AND TARGETS ALIGNED WITH SDG TRANSFORM – EXPANDING ENABLING ENVIRONMENTS PROVIDE LEGAL IDENTITY FOR ALL, INCLUDING BIRTH REGISTRATION ENHANCE THE GLOBAL PARTNERSHIP FOR SUSTAINABLE DEVELOPMENT MEASURING MATERNAL AND CHILD HEALTH AN OBJECTIVE VIEW OF MATERNAL AND CHILD HEALTH CAN BE PROVIDED BY USING DEPARTMENT OF STATISTICS TO DESCRIBE THE DEGREES OF ILLNESS  1. CRUDE BIRTH RATE (CBR) MEASURES HOW FAST PEOPLE ARE ADDED TO THE POPULATION THROUGH BIRTHS. USEFUL MEASURE OF POPULATION. AFFECTED BY THE FERTILITY, MARRIAGE PATTERN, AND PRACTICES OF THE PLACE, SEX, AND AGE COMPOSITION OF A POPULATION, AND BIRTH REGISTRATION.  1. CRUDE BIRTH RATE (CBR) ≥ 45/1,000 LIVE BIRTHS IMPLIES HIGH FERTILITY, ≤ 20/1,000 LIVE IMPLIES LOW FERTILITY. CBR = # of registered live births in a year x 1,000 Midyear population  2. GENERAL FERTILITY RATE (GFR) MORE SPECIFIC RATE THAN CBR THE WOMEN IN THE REPRODUCTIVE AGE GROUPS (15-44 YEARS).  2. GENERAL FERTILITY RATE (GFR) HIGH FERTILITY RATE = GFR OF 200/1,000 WO LOW FERTILITY RATE = GFR OF 60/1,000 GFR = # of registered live births in a year x 1,000 Midyear population of women 15-44 years of age  2. GENERAL FERTILI TY RATE (GFR) 3. MATERNAL MORTALITY RATE (MMR) NUMBER OF DEATHS OF A FEMALE FROM ANY CAUSE RELATED TO OR AGGRAVATED BY PREGNANCY AND CHILDBIRTH OR WITHIN 42 DAYS OF TERMINATION OF PREGNANCY, IRRESPECTIVE OF THE DURATION AND THE SITE OF THE PREGNANCY.  3. MATERNAL MORTALITY RATE (MMR) MEASURES OBSTETRIC RISK AND IS AFFECTED BY MATERNAL HEALTH PRACTICES, DIAGNOSTIC ASCERTAINMENT, AND COMPLETENESS OF REGISTRATION OF BIRTHS. MMR = # OF DEATHS DUE TO PREGNANCY, DELIVERY, PUERPERIUM IN A CALENDAR YEAR X 100,000 NUMBER OF LIFE BIRTHS IN THE SAME YEAR  T M O RTALI TY 4. INFAN RATE (IMR) F IN FA N TS U N D ER ONE YEAR OF SO NUMBER OF DEATH N E THOUSAND LIVE D A R YE AR P ER O AGE IN A CALEN E PERIOD. BIRTHS IN THE SAM TH E R ISK O F D YIN G WITHIN THE APPROXIMATION OF. FIRST YEAR OF LIFE O F T H E LE V E L O F HEALTH IN A A GOOD INDEX A R E VERY SENSITIVE U SE IN FA N T S COMMUNITY BECA SE ENV IR O N M E N TA L CONDITIONS. TO ADVER LE V ELS O F H EA LTH STANDARDS W HIGH IMR MEANS LO O R M AT ERNAL HEALTH NDAR Y T O PO THAT MAY BE SECO CARE. AND CHILD HEALTH 4. INFANT MORTALITY RATE (IMR) IMR LEVELS OF 60-150/1,000 LIVE BIRTHS ARE COMMONLY SEEN IN POOR POPULATION; ≥200/1,000 LIVE BIRTHS IS INDICATIVE OF VERY SEVERE ENVIRONMENTAL CONDITIONS. IMR = DEATHS UNDER 1 YEAR OF AGE IN A CALENDAR YEAR X 1,000 NUMBER OF LIVE BIRTHS IN THE SAME YEAR 5. NEONATAL MORTALITY RATE (NMR) DEATHS OF INFANTS LESS THAN 28 DAYS OLD ARE DUE MAINLY TO PRENATAL OR GENETIC FACTORS. NMR = # OF DEATHS AMONG THOSE UNDER 28 DAYS OF AGE IN A CALENDAR YEAR X 1,000 NUMBER OF LIVE BIRTHS IN THE SAME YEAR 6. POST NEONATAL MORTALITY RATE (PMR) DEATHS AMONG INFANTS 28 DAYS TO LESS THAN 1 YEAR OF AGE IN A CALENDAR YEAR. INFLUENCED BY ENVIRONMENTAL AND NUTRITIONAL FACTORS AS WELL AS INFECTION. PNR = NUMBER OF DEATHS AMONG THOSE 28 DAYS TO LESS THAN 1 YEAR OF AGE IN A CALENDAR YEAR X 1,000 NUMBER OF LIVE BIRTHS IN THE SAME YEAR 6. POST NEONATAL MORTALITY RATE (PMR)  THE CURRENT POPULATION OF NEGARA BRUNEI DARUSSALAM IS 454,308 AS OF SATURDAY, JANUARY 13, 2024, BASED ON WORLDOMETER ELABORATION OF THE LATEST UNITED NATIONS DATA 1.  BRUNEI DARUSSALAM 2023 POPULATION IS ESTIMATED AT 452,524 PEOPLE AT MID YEAR.  BRUNEI DARUSSALAM POPULATION IS EQUIVALENT TO 0.01% OF THE TOTAL WORLD POPULATION.  BRUNEI RANKS NUMBER 175 IN THE LIST OF COUNTRIES (AND DEPENDENCIES) BY POPU LATION.  THE POPULATION DENSITY IN BRUNEI DARUSSALAM IS 86 PER KM2 (222 PEOPLE PER MI2).  THE TOTAL LAND AREA IS 5,270 KM2 (2,035 SQ. MILES)  80.4 % OF THE POPULATION IS URBAN (363,647 PEOPLE IN 2023)  THE MEDIAN AGE IN BRUNEI DARUSSALAM IS 32.8 YEARS. #CITY NAME POPULATION Bandar Seri 64,409 1 Begawan Kuala Belait 31,178 2 Seria 30,097 3 Tutong 19,151 4  RESPONSIBILITIES OF MATERNAL AND CHILD NURSE  HEALTH CARE PROVIDER  HEALTH EDUCATOR  COUNSELOR  RESEARCHER  MANAGER OF CARE ADVANCED-PRACTICE ROLES OF MCN NURSES CLINIC NURSE SPECIALIST CASE MANAGER WOMEN’S HEALTH NURSE PRACTITIONER FAMILY NURSE PRACTITIONER NEONATAL NURSE PRACTITIONER PEDIATRIC NURSE PRACTITIONER  REFERENCES: FAMORCA, Z.U., M.A.NIES AND M. MCEWEN. NURSING CARE OF THE COMMUNITY: A COMPREHENSIVE TEXT ON COMMUNITY AND PUBLIC HEALTH NURSING IN THE PHILIPPINES (6TH ED.). SINGAPORE, ELSEVIER. FLAGG, J. (2018). MATERNAL AND CHILD HEALTH NURSING: CARE OF THE CHILDBEARING AND CHILDBEARING FAMILY (9THED.). PHILADELPHIA, PA: WOLTERSKLUWER. PILLITTERI, A. (2014). MATERNAL AND CHILD HEALTH NURSING (7TH ED.) PHILADELPHIA: LIPPINCOTT, WILLIAMS AND WILKINS. Thank You!